Microdebrider-Assisted Rhinophyma Excision

Rhinophyma represents a progressive deformity of the nose which leads to cosmetic disfigurement and has a significant impact on the patient’s quality of life. This pathological entity originates from hyperplasia of sebaceous gland tissue, connective tissue, and vessels of the nose and is associated...

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Main Authors: Abdulaziz Abushaala, Marios Stavrakas, Hisham Khalil
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2019/4915416
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author Abdulaziz Abushaala
Marios Stavrakas
Hisham Khalil
author_facet Abdulaziz Abushaala
Marios Stavrakas
Hisham Khalil
author_sort Abdulaziz Abushaala
collection DOAJ
description Rhinophyma represents a progressive deformity of the nose which leads to cosmetic disfigurement and has a significant impact on the patient’s quality of life. This pathological entity originates from hyperplasia of sebaceous gland tissue, connective tissue, and vessels of the nose and is associated with rosacea and more specifically, stage III rosacea. Surgical treatment is the method of choice. We present five cases of rhinophyma that we treated with microdebrider-assisted excision. The procedure was divided in two main steps: scalpel excision of the main bulk of the rhinophyma and then further contouring with the microdebrider. All patients had weekly follow-up for the first four weeks, and then three-monthly. All patients had uneventful recovery and satisfactory cosmetic outcomes. No postoperative infections or other complications were reported in our case series. The use of the microdebrider reduces the operating time, preserves the islands of skin regeneration, and allows finer manipulations than the standard scalpel techniques. Microdebrider-assisted rhinophyma excision is a safe approach, with good aesthetic results. Larger series of patients need to be examined in order to establish the value of the method.
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spelling doaj-art-c8e3e628d29c4545816fdab2e25ccbb82025-02-03T06:05:23ZengWileyCase Reports in Otolaryngology2090-67652090-67732019-01-01201910.1155/2019/49154164915416Microdebrider-Assisted Rhinophyma ExcisionAbdulaziz Abushaala0Marios Stavrakas1Hisham Khalil2ENT Department, University Hospitals Plymouth NHS Trust, Plymouth, UKENT Department, University Hospitals Plymouth NHS Trust, Plymouth, UKENT Department, University Hospitals Plymouth NHS Trust, Plymouth, UKRhinophyma represents a progressive deformity of the nose which leads to cosmetic disfigurement and has a significant impact on the patient’s quality of life. This pathological entity originates from hyperplasia of sebaceous gland tissue, connective tissue, and vessels of the nose and is associated with rosacea and more specifically, stage III rosacea. Surgical treatment is the method of choice. We present five cases of rhinophyma that we treated with microdebrider-assisted excision. The procedure was divided in two main steps: scalpel excision of the main bulk of the rhinophyma and then further contouring with the microdebrider. All patients had weekly follow-up for the first four weeks, and then three-monthly. All patients had uneventful recovery and satisfactory cosmetic outcomes. No postoperative infections or other complications were reported in our case series. The use of the microdebrider reduces the operating time, preserves the islands of skin regeneration, and allows finer manipulations than the standard scalpel techniques. Microdebrider-assisted rhinophyma excision is a safe approach, with good aesthetic results. Larger series of patients need to be examined in order to establish the value of the method.http://dx.doi.org/10.1155/2019/4915416
spellingShingle Abdulaziz Abushaala
Marios Stavrakas
Hisham Khalil
Microdebrider-Assisted Rhinophyma Excision
Case Reports in Otolaryngology
title Microdebrider-Assisted Rhinophyma Excision
title_full Microdebrider-Assisted Rhinophyma Excision
title_fullStr Microdebrider-Assisted Rhinophyma Excision
title_full_unstemmed Microdebrider-Assisted Rhinophyma Excision
title_short Microdebrider-Assisted Rhinophyma Excision
title_sort microdebrider assisted rhinophyma excision
url http://dx.doi.org/10.1155/2019/4915416
work_keys_str_mv AT abdulazizabushaala microdebriderassistedrhinophymaexcision
AT mariosstavrakas microdebriderassistedrhinophymaexcision
AT hishamkhalil microdebriderassistedrhinophymaexcision